Resident Life: Introduction
R4: Liz Gass    |   R3: April DeLira    |   R2: Paul Saladino    |   R1: Monica Samelson    |    Idaho Track: Uday Aloka
Resident Life
Liz Gass
Fourth Year Resident
Seattle Track

Why UW Psychiatry?

"I wanted to come to a place where residents were thriving, and with a residency program structure that supported residents’ personal wellness in addition to clinical education, and encouraging their career goals.  I also have a broad range of interests right now (including psychotherapy, global mental health, and child psych), and wanted to go somewhere where I could get well-rounded training, and explore these interests in-depth. ”

Education

Undergraduate: Harvard College
Medical School: Vanderbilt School of Medicine

Follow Me For A Week

Sunday
Morning:   Sleep in!
Afternoon:   Zumba, and then chill time!
Evening:   Evening Church Service.
     
Monday
Morning:   Community Psychiatric Clinic
Afternoon:   UW Neurology Clinic
Evening:   Zumba, and remember to eat!
     
Tuesday
Morning:   Supervision
Afternoon:   Lead DBT group, and DBT consultation group
Evening:   Zumba, Dinner, then reading.
     
Wednesday
Morning:   UW Long term Continuity Clinic
Afternoon:   UW Long term Continuity Clinic
Evening:   Zumba, Chill time
     
Thursday
Morning:   Didactics followed by T-group and business meeting
Afternoon:   Supervision followed by free time – shopping, errands, whatever my heart desires!
Evening:   Zumba, Dinner, then reading.
     
Friday
Morning:   VA PTSD Clinic
Afternoon:   VA Forensics Elective
Evening:   Night out!
     
Saturday
Morning:   Sleep in and/or Errands
Afternoon:   Zumba!
Evening:   Catch up with friends and family near and far

Clinical Rotations

Community Psychiatric Clinic (a community mental health agency)
DBT skills group and consultation team
UW Neurology Clinic
VA PTSD Clinic
Long Term Continuity Clinic
VA Forensics Rotation

Career Goals

"Currently I’m interested in outpatient vs. emergency psychiatry.  I also have an interest in global mental health, and child psych but we’ll see how it all works out!"

Average Weekly Hours

45 hours

Night and Weekend Duty

One day or night shift a month

Resident Life
April DeLira
Third Year Resident
Seattle Track

Why UW Psychiatry?

"I came to UW Psychiatry after spending two years in OBGYN residency. I witnessed the sequelae of trauma and mental illness and wanted to intervene in a meaningful way, but my environment was not conducive to this. Going through a significant career change is challenging, and it was very important to me to find a Psychiatry program in which I would be fulfilled both professionally and personally. I did my undergraduate work and medical school at UW. I trust the academic prowess, and recognize it as an outstanding research institution. I also cannot overstate the importance of working in a supportive environment, in which patients and physicians thrive, and UW provides this. All that the city of Seattle and the region has to offer is a remarkable bonus! There are countless hikes to keep you busy. We even have a few ‘beaches’ and our waters are beautiful for kayaking and paddle boarding. Thanks to the comradery and support in our program I’ve been able to carry on my basic residency duties and begin work on a research project, and I still have time to spend with my family and friends. After completing a year here I can honestly say I remain extremely thankful to be a part of this program, and I have not doubted my decision for a moment!”

Education

BS, Microbiology, University of Washington
MD, University of Washington

Follow Me For A Week

Sunday
Morning:   Eat at home or out to breakfast w/my daughter
Afternoon:   Coffee at Alki beach or a light hike at Lincoln park. Maybe a swim in the saltwater pool and a stop at the playground and wading pool for my daughter. Or do nothing which is often my preference on Sundays!
Evening:   Dinner and reading with my daughter, Netflix and chill
     
Monday
Morning:   Addictions Treatment Center at the VA
Evening:   Gym, dinner and reading with my daughter, study, tea and bed
     
Tuesday
Morning:   Telepsychiatry at the VA
Evening:   Take daughter to swimming lessons, then dinner and reading with my daughter, study, tea and bed
     
Wednesday
Morning:   Continuity Clinic at the VA for CBT & psychodynamic/psychoanalytic therapy
Evening:   Dinner and reading with my daughter, study, tea and bed
     
Thursday
Morning:   Didactics at UW
Afternoon:   Meet w/ psychoanalytic and CBT supervisors, research supervisor when needed
Evening:   Daughter to swimming lessons, then dinner and reading with my daughter, study, tea and bed
     
Friday
Morning:   Intake and Brief Intervention Service (IBIS Clinic) at Harborview. IBIS is a short-term clinic designed for evaluation and acute stabilization, and residents primarily do psychiatric intakes, medication management and brief interventions as long-term care is being arranged for the patients. Diagnostic spectrum is broad and fascinating. Many of our patients are recently discharged from our psychiatric emergency services department or from out inpatient psychiatric unit.
Evening:   Gym, dinner and reading with my daughter, study, tea and bed
     
Saturday
Morning:   Eat at home or out to breakfast w/ my daughter
Afternoon:   Coffee at Alki beach or a light hike at Lincoln park. Maybe a swim in the saltwater pool and a stop at the playground and wading pool for my daughter.  
Evening:   Dinner and reading with my daughter, Netflix and chill OR out with friends!
     

Clinical Rotations

VA Addictions Treatment Center
VA Telepsychiatry
VA Long-term Continuity Clinic
Harborview Intake and Brief Intervention Clinic


Career Goals

"I see myself working in an academic center, spending time on inpatient service, consult-liason service and in psychiatric emergency services. I am interested in telepsychiatry as well and am doing an elective this year to become accustomed to it. Within telepsychiatry I would specifically like to provide perinatal general psychiatry and addiction services to underserved areas. I am considering a fellowship in consultation liason or addictions but I am undecided at this time."

Average Weekly Hours

  • Approximately 45 hours per week

Night and Weekend Duty

Roughly 20, 12-hour weekend or holiday shifts (some of which is home calls) spread over the year

 

Resident Life
Paul Saladino
Second Year Resident
Seattle Track

Why UW Psychiatry?

"This one is easy; UW provides the unique combination of a high powered academic residency with supportive faculty and a flexible environment set amongst the grandeur of mountains and the ocean. Work- life balance is something that is very important to me.  Having the ability to spend an afternoon on the slackline or at the bouldering gym and weekends in the mountains skiing or at the coast chasing the perfect wave provide a chance to recharge the batteries and good stories with which to regale my co-residents.  This combination of the beauty of the Pacific Northwest with the excellent faculty here has made my residency experience superlative, thus far.  I have found my co-residents and attending physicians to be intelligent, driven and eager to teach. Come join us and see for yourself! I’ll save you a spot in the lift line at Alpental.”

Education

BS Chemistry/Biology, College of William and Mary
MSHS, Physician Assistant, George Washington University
MD, University of Arizona College of Medicine

Follow Me For A Week

Sunday
Morning:   Wake up at the beach after camping there overnight. Check the surf and throw on the wetsuit ASAP when conditions look glassy.
Afternoon:   Take a break from the surfing and eat some food before another quick session in the water before packing up the truck and heading home.
Evening:   Unpack after the weekend mini-adventure and get ready for the week, day dream about the best waves of the weekend.
Monday
Morning:   Arrive at Geriatrics clinic at Harborview and see patients during the morning with a bit of supervision thrown in.
Afternoon:   Cruise over the neuro clinic for some outpatient neurology appreciating the aspects of this clinic that complement psychiatry.
Evening:   Head to the gym on the way home for a workout and sauna (studies show markedly lower rates of dementia and CV disease outcomes in Finnish males who sauna multiple times a week, gotta keep the brain healthy!).
Tuesday
Morning:   Drive out to North Bend (think mountains east of the city) for the day working with adolescents at Echo Glen. Spend the morning interacting with patients and their families.
Afternoon:   Further work at echo glen before heading home.
Evening:   Head to the lake (Sammamish) to hop on the paddle board and fly the trainer kite.
Wednesday
Morning:   Arrive at clinic a bit before my 9am patient to review the chart. See outpatients in the morning (mix of psychotherapy and medication management).
Afternoon:   CBT seminar and supervision before a few more patient appointments.
Evening:   Stop by the gym on the way home to work on some handstands and other hand balance challenges- sauna afterward, of course. Eat dinner after getting home and listen to a podcast.
Thursday
Morning:   Didactics in morning, head outside afterward to enjoy the sunshine and eat lunch.
Afternoon:   Psychotherapy supervision before heading outside to hop on the slackline.
Evening:   Make dinner, check the surf report for the weekend and run over to PCC for provisions for another weekend adventure.
Friday
Morning:   At the VA for the integrated care clinic seeing medical patients with psychiatric issues.
Afternoon:   Finish up notes from the morning clinic before working on quality improvement project. Daydream about being in the ocean soon.
Evening:   Pack the truck and drive to Westport. Sneak in a sunset surf session before retiring for the night.
Saturday
Morning:   Wake up and immediately check the ocean. Looks good! Thank the surf gods! Woohoo! Cold, clammy wetsuit goes on (ugh) and then it’s the customary sprint to the ocean. Whoa! Who turned on the A/C? The ocean is way colder this morning. Spend the morning trying to stay warm while trying to not let at all the good wave elude me.
Afternoon:   See some friends who are also in Westport for the weekend, talk in bro language for a bit (copious utterances of  “stoked”, “rad” and “tubular” are overheard) before plotting the second surf session of the day.
Evening:   Rested up and fully re-stoked we all head back into the ocean together for a great surfing session complete with inquisitive seal and low flying pelicans. Campfire later prior to crashing, fall asleep still feeling the ocean waves only to dream about surfing.

Clinical Rotations

Monday AM: Harborview geriatrics

Monday PM: Neurology outpatient clinic

Tuesday: Echo Glen- child/adolescent rotation

Wednesday: Continuity outpatient clinic at the UW

Thursday: Didactics/supervision

Friday: Interprofessional elective at the VA


Career Goals

"I am interested in connections between nutritional biochemistry and chronic disease, especially as this relates to mental health.  The gut microbiome certainly appears to influence our mood states and as this influence becomes better understood I believe it will provide new insight into potential strategies for treatment of psychiatric disorders. I plan to create an outpatient Functional Medicine Psychiatric practice after residency which will incorporate these approaches with the hope of beginning to address mental health illness at a place closer to its biochemical roots."

Average Weekly Hours

  • Approximately 45 hours per week

Night and Weekend Duty

10 calls per 6 month call cycle, mix of  training call with junior residents and solo call, spread across all 3 clinical sites (VA, UWMC, HMC)

 

Resident Life
Monica Samelson
First Year Resident
Seattle Track

Why UW Psychiatry?

"I knew very early on in the interview process that I was drawn to a big academic program – the opportunities for meeting lots of new people with lots of different ideas was a must-have on my list, and on top of that UW also offers experts in a broad range of fields, a history of being at the forefront of progress, the backdrop of Seattle, and the venerable and unparalleled institution of Harborview. I knew this would be a place of paramount learning and growth for me. "

Education

BS Molecular Biochemistry and Biophysics with a minor in Linguistics, Illinois Institute of Technology
MD, University of Illinois at Chicago

Follow Me For A Week
(Inpatient pediatrics, Seattle Children's)

Sunday
Morning:   I’m assigned Sunday for my weekend day this week at Seattle Children’s. I arrive at 6:30am for early sign-out from the night team and hear about new admits and old patients on the whole team which I’ll be covering for the day. I spend the rest of the morning pre-rounding, touching base with my senior and attending, and getting to work on plans for the day.
Afternoon:   My senior grabs me for some lunch and we enjoy some cafeteria burgers and salads outside in one of Children’s beautiful garden patios in the June sunshine. I spend the rest of the afternoon writing up notes and admitting a kid in DKA to the endocrine team – luckily Children’s is at the forefront of the management of type 1 diabetes, and DKA treatment is down to a science. He does just fine.
Evening:   The night team arrives for sign-out at 6pm and I’m home by 7pm. My partner made us dinner and we wind down with some Netflix and a glass of wine before I head to bed.
Monday
Morning:   We’re late sign-out today, but I wake up a little early to ride my bike to the hospital and get there by 7am. Since it’s a normal weekday, my co-intern and I are both on-service and we split the list. I’m carrying 5 patients today, and I chart round, pre-round and start my notes before we start rounding at 9:30. Rounding with the endocrine, neurology, and general medicine attendings and fellows takes a few hours, but we break off around noon to call some consults before lunch.
Afternoon:   Noon conference today teaches us the basic approach in initial work-up and management of gastroenteritis. We get a few admits from the ED and the PICU later in the afternoon.
Evening:   I’m done around 8pm and ride my bike home. I’m pretty beat, so it’s just an episode of Bob’s Burger’s on the couch with dinner before I crash.
Tuesday
Morning:   Today’s pre-rounding and rounding takes a bit longer since my co-intern and I are both managing some pretty complicated patients, from chronic meningitis to rare genetic disorders to congenital CMV. We miss part of noon conference but still get some learning in.
Afternoon:   Start accepting patients at noon, head down to the ER for two admits.Since we didn’t get any admits today and things have settled down, we’re both done with our notes pretty early and have time to get a head start on discharge summaries.
Evening:   I leave right after sign out and for dinner we head over to a friend’s for fresh asparagus pizza by 7pm.
Wednesday
Morning:   This morning feels a bit frantic – I conference with my senior and our team pharmacist to manage a patient’s elevated potassium that came back on morning labs. We determine the patient is stable and safe, put her on telemetry, and give her some medications all before rounds.
Afternoon:   In between a DKA transfer from the PICU, a seizure admit from the ED, and an asthma discharge we get some teaching from the neurology attending on using a ketogenic diet to manage epilepsy.
Evening:   My partner made an amazing taco soup for dinner – I’m ravenous by the time I get home a bit after 8pm. I turn it in pretty early tonight.
Thursday
Morning:   We pre-round quickly to make it to Grand Rounds where coffee, bagels and some learning from one of the biochemical geneticists on neonatal causes of hypoglycemia awaits.
Afternoon:   Rounds run a little late today, so we’re really ready for lunch, but we did get the chance to learn about upper vs lower respiratory infections from our gen med attending.
Evening:   I meet some psych co-interns for dinner and drinks at the Pine Box. We compare notes on our off-service rotations and talk about Beyonce.
Friday
Morning:   At morning report today we talk about bronchiolitis. Because it’s Friday, the teams that have made all of their post-discharge calls to primary care pediatricians get doughnuts! We spend the rest of the morning snacking on these in the team room.
Afternoon:   One of my adolescent patients is trying to learn the ukulele – she was excited to find out that I started playing myself last summer. I spend a while with her practicing chords, looking up tabs, and serenading her nurse.
Evening:   I stay late today finishing up notes since the ukulele lessons ate into the afternoon – totally worth it. I’m still home by 9pm to debrief the week with my partner and make a nice dinner.
Saturday
Morning:   Day off! I sleep in, eat a fresh leisurely breakfast, and drink coffee from my favorite mug before going on a quick run to the water.
Afternoon:   After some grocery shopping and inbox clean-up, I spend the afternoon enjoying a novel and rectifying my Seattlite vitamin D deficiency on our apartment building’s rooftop deck.
Evening:   Some co-interns and I have dinner, drinks, and go dancing in Capitol Hill before I head home to prep for another week.

 

Clinical Rotations

13 - 4 week blocks:

Harborview Inpatient Psychiatry (3 months)
VA Inpatient Psychiatry (3 months)
Harborview Inpatient Medicine (1 month)
VA Inpatient Medicine (1 month)
VA Inpatient Neurology (1 month)
University of Washington Emergency Medicine (1 month)
Harborview Medicine Consults (1 month)
VA Geriatric Medicine (1 month)

Career Goals

“I plan to work with child and adolescent disadvantaged populations and I see myself involved in the fields of trauma-focused psychotherapy and social justice/advocacy in order to carve out places for these kids that trauma, oppression and disparity have otherwise barred. I’m very interested in the ways community-building fosters relational resilience, and in the cultures and attitudes of healthcare professionals in psychiatry, and how these things can be bolstered and fostered in order to minimize harm and maximize help to our patients."

Average Weekly Hours

Inpatient Medicine: 80 hours per week
Emergency Medicine: 60 hours per week
Neurology: 45 hours per week
Inpatient Psychiatry: 45 hours per week
Medicine Consults: 40 hours per week
Geriatrics: 40 hours per week

 

Night and Weekend Duty

Inpatient Psychiatry: 3 weeks of night float at Harborview, plus 4 to 5 weekend call shifts 
Inpatient Medicine: 4 random days off during the month
Emergency Medicine: 8 random days off during the month
Neurology: One weekend day off per week
Medicine Consults: All weekends off
Geriatrics: all weekends off


Resident Life
Uday Aloka
Third Year Resident
Idaho Track

Why UW Psychiatry?

I was impressed by the UW Psychiatry/Idaho track during the application process as it gives a unique opportunity to be trained and practice in two different populations and environments (Seattle and Boise). On the interview day, I was so impressed how the staff and faculty were laid back, supportive and organized. I liked the academic structure of the program with special focus on protected time for didactics and self-wellbeing. Regarding career goals, UW psychiatry has amazing fellowship opportunities that meet all my fellowship ambitions. After two years as a resident in UW psychiatry, I loved it even more and I’m happy I matched here. Honestly, it was an easy decision from my side to make the chocie to go with UW Psychiatry/ Idaho track.

Education

M.D., Mosul College of Medicine

Follow Me For A Week

Sunday
Morning:   Waking up little late and have breakfast with family.  Walk with the kids to a nearby mini soccer stadium to play some soccer.
Afternoon:   Back home to have some rest and prepare for a barbecue in the backyard.
Evening:   Enjoy barbecuing with family. S’mores for kids. Big fan of tea brewed over charcoal!
Monday
Morning:   Family Medicine Residency of Idaho (FMRI) Clinic. Huge learning experience from big diverse population. I like to work with refugees and new comers who likely had no access to mental health in their home country refugee camps!
Afternoon:   FMRI Continued
Evening:   Dinner with family and help kids with homework. Bedtime story for kids.
Tuesday
Morning:   St. Alphonsus Tele psychiatry clinic. See patient thru video call in underserved areas of Idaho such as Mosco, Idaho as a consultant to the primary care provider.
Afternoon:   Telepsychiatry continued
Evening:   Gym for 1hr. Work on a presentation about Addiction.
Wednesday
Morning:   Psychiatry consult team at St Luke’s. See patients with mental illnesses who were admitted to other services such as medicine, Surgery, etc. Diverse complicated patients which make it a great learning opportunity!
Afternoon:   St. Luke’s consults continued
Evening:   Some relaxation time at home after light dinner. Reading for the next day didactics
Thursday
Morning:   Didactics and T-group
Afternoon:   Lunch with other psychiatry residents. Psychotherapy seminar and supervision.
Evening:   Meeting with a friend who is visiting Boise and having dinner at an awesome restaurant in down town Boise.
Friday
Morning:   VA continuity clinic. Glad to serve our veterans.
Afternoon:   VA continuity clinic continued
Evening:   Take kids to YMCA for swimming and other sport activities.
Saturday
Morning:   Breakfast with family in the backyard. Doing some work in the house.
Afternoon   Enjoying the summer time at Boise water park with family.
Evening   Stayed late at the waterpark. Back home for some rest and bedtime story

Clinical Rotations

Outpatient Continuity Clinic Sites: VA Medical Center, Family Medicine Residency of Idaho (FMRI), Boise States University

Addictions Rotation: VA Residential Substance Abuse Treatment Program RSAT

Forensics Rotation: Idaho State Department of Corrections

Outpatient Psychiatry Consults: St. Alphonsus Tele Psychiatry Clinic, FMRI Psychiatry Assessment Clinic (FMRI PAC)

Electives

Career Goals

"Not fully decided yet. Plans include doing fellowship training in Addiction Psychiatry and then return to Idaho vs staying in Boise and practice general psychiatry with focus on PTSD and addiction. Job opportunities in Idaho are amazing!"

Average Weekly Hours

40-45 hours

Night and Weekend Duty

None required by the program. There are many moonlighting opportunities in the area; I’m in the process of preparing to do moonlighting for one weekend per month (you can do more if interested).


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Box 356560   |   1959 NE Pacific St.   |   Seattle, WA 98195-6560   |   206.543.6577   |   psychres@uw.edu